Symptoms

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The signs and symptoms of granuloma annulare can vary, depending on the variety:

Localized. This is the most common type of granuloma annulare. The lesion borders have a circular or semicircular shape, with a diameter up to 2 inches (5 centimeters). It occurs most commonly on the hands, feet, wrists and ankles of young adults, particularly women.

Generalized. Up to 15 percent of the people who have granuloma annulare have lesions over a large portion of their bodies — including the trunk, arms and legs. This variety is more likely to be itchy and most often affects adults.

Subcutaneous. Occurring predominantly in young children, this type of granuloma annulare produces a firm lump under the skin instead of a rash. The lump is usually less than 1.5 inches (3.8 centimeters) in diameter.

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